Medical Transportation Program Provider Application

← Back to document page

REV. XIMedical Transportation Program Provider Application Revised Date: 12/31/2019 | Effective Date: 01/01/2020Table of ContentsIntroduction ........................................ ........................................ ................1Application Contact Information ........................................ .......................................6 Application Payment Form ........................................ ........................................ ...7Medical Transportation Provider Enrollment Application .

Transportation Subcontractor (Demand Response): A profit or non-profit entity enrolled through the Texas Medicaid & Healthcare Partnership (TMHP) for participation status as an NEMT service provider, that may be enlisted by a managed transporation organization. Managed Transportation Organization (MTO): A transportation broker awarded

  Texas, Transportation, Tmhp